2 Patient pathway as journey Patient Fear reduction Traveller Taxi service Planning system Critical check points Time out Crew Resource Management Black box Marking (De Korne et al. 2010) Het Oogziekenhuis Rotterdam Main intervention Research question > Give the patient your checklist > To which extend will a patient-led hospital exit checklist for retina patients result in less postoperative questions and improve patient safety? Methods > Mixed methods case study design > Between December 2011 en January 2012, 110 patients who underwent retinal surgery in the Rotterdam Eye Hospital (the Netherlands) received a 11-item checklist on the day of surgery. > Before and after use of the checklist, focus groups with nurses (2x5) and patients (1x12) were held to assess their views and experiences with the checklist. 2

4 and as eyepad > From August 2012 on, patients who underwent retinal surgery in the Rotterdam Eye Hospital received a eyepad with the 11-item checklist on the day of surgery > Focus attention by being actively involved and moving a cursor > Using of ipad for other things during day of surgery Non-checked items paper and eyepad checklist Medication safety Post-op hospital contact Physical safety AV=10.8% Nurse reported effects > Nurses indicate that they appreciate the checklist, however they prefer to use it by themselves and feel barriers to empower and inquire patients > Some nurses do not feel capable since they are not familiar with ipads and computers > Nurses indicate that patients and accompanies are more focussed during pre-op waiting 4

5 Patient reported effects Number of questions after retina surgery (per month, >0 days postop) > Patient stress that they trust the hospital and do not feel much incentivized to use the checklist paper based checklist eyepad checklist > Accompanying family members play an important role in the actual use of the checklist during pre and post operative process number of helpdesk retina questions > Open spaces on the checklist are mostly used to question the hospital on medication issues percentage of retina questions of total questions > Patient questions for additional apps, both informative, educational and fun 10 0 Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Discussion From participation to empowerment > Patient participation has been suggested as major intervention for improvement on quality and safety of health care > Both health care workers and patients need however to adjust their views and share responsibility and power > Patient em power ment > Who should facilitate? > Patient participation is a process of behaviour change, where active participation needs to be stimulated and rewarded > More advanced technology to stimulate active participation (f.e. integration with personal medical device) should be considered Look forward! Thank you > Dirk de Korne > 5

AT&T Global Network Client for Windows Product Support Matrix January 29, 2015 Product Support Matrix Following is the Product Support Matrix for the AT&T Global Network Client. See the AT&T Global Network

Overview This dashboard presents our performance in the new A&E clinical quality indicators. These 8 indicators will allow you to see the quality of care being delivered by our A&E department, and reflect

employager 1.0 design challenge a voyage to employ(ment) EMPLOYAGER 1.0 On the initiative of the City of Eindhoven, the Red Bluejay Foundation organizes a new design challenge around people with a distance

ENHANCEMENT OF ACUTE SERVICE IN KCC ON CLINICAL PATHWAY FOR GERIATRIC HIP FRACTURE Elaine Wong WY Queen Elizabeth Hospital 7 May 2012 BACKGROUND In KCC, there are around 800 cases admitted for geriatric

09/26 NHS BLOOD AND TRANSPLANT MARCH 2009 RESPONDING EFFECTIVELY TO BLOOD DONOR FEEDBACK EXECUTIVE SUMMARY From April 2009 an NHS wide common approach to complaint handling comes in to effect. This provides

Complaints Annual Report 2011/2012 This report incorporates complaints handling for Basingstoke and North Hampshire NHS Foundation Trust and Winchester and Eastleigh Healthcare Trust for the period 1 April

Billions Consumer and Business Identity Theft Statistics Business identity (ID) theft is a growing crime and is a growing concern for state filing offices. Similar to consumer ID theft, after initially

Provision of an Emergency & Urgent Care Centre and Out of Hours Service to Walsall CCG by Badger Healthcare Ltd 1. Introduction Monthly Performance to Contract Report November 2014 This report covers the

Discharge Process Improvement A Case Study by Barnes-Jewish Hospital of St. Louis Discharging a patient is an activity common to every hospital - small, large, community, inner-city, teaching or non-teaching.

Introduction of a Dedicated Admissions Nurse to Improve Access to Care for Surgical Patients Editor s Note: In Introduction of a Dedicated Admissions Nurse to Improve Access to Care for Surgical Patients

27 4 ASKING FOR INFORMATION 1 Specimen Dear Mr Hennesy Referring to our phone conversation of Monday 25 September, I would like to ask for some additional guidelines. I have two questions to start with.

At Care Group Level CQC Compliance Monitoring Framework 1. Utilising cascade training, Clinical Managers to ensure the staff within their Care Group are aware of the regulations, how to ensure compliance,

Please note the following information: The following exams are available throughout the year: Please click on the exam for which you wish to see the dates. When you have finished, you can select to return

Primary health care in the Netherlands: current situation and trends Prof. Peter P. Groenewegen NIVEL Netherlands Institute for Health Services Research and Utrecht University Contents of my presentation

Oxford Eye Hospital Vitrectomy Information for patients What is a Vitrectomy The vitreous humour is normally a clear, transparent jelly-like substance inside the eye. It lies behind the iris (the coloured

Alternative Fee Arrangements A Guide to Alternative Fee Arrangements De Brauw Blackstone Westbroek September 2014 1 Introduction Welcome to the first edition of the De Brauw Blackstone Westbroek Alternative

Please note the following informa on: The following exams are available throughout the year: Please click on the exam for which you wish to see the dates. When you have finished, you can select to return

Wrong Blood in Tube: Where does the process go wrong? A sample of blood which is collected from one patient, but the labelling is that of another patient. Wrong patient blood, right patient details Right

LAUNCHING A SOCIAL IMPACT BOND IN MENTAL HEALTH AND EMPLOYMENT SEPTEMBER 2015 INTRODUCING SOCIAL FINANCE AND HEALTH AND EMPLOYMENT PARTNERSHIPS Not-for-profit social enterprise, founded in 2007 Designed

To ensure the functioning of the site, we use cookies. We share information about your activities on the site with our partners and Google partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy &amp Terms.
Your consent to our cookies if you continue to use this website.